Lac Qui Parle Clinic Of Madison, Inc
Lac Qui Parle Clinic Of Madison, Inc is a health care provider in Madison, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 820 3rd Ave, Madison, MN 56256-1014, US |
|Practice Location Phone||320-598-7551|
|Practice Location Fax||320-598-7553|
|Legal Business Name||LAC QUI PARLE CLINIC OF MADISON, INC|
|Enumeration Date ? ||Jun 20, 2006|
|Last Update Date ? ||Aug 16, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Lac Qui Parle Clinic Of Madison, Inc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health |
Legacy Provider IDs of Lac Qui Parle Clinic Of Madison, Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Lac Qui Parle Clinic Of Madison, Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lac Qui Parle Clinic Of Madison, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mrs. Carol M Borgerson|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||320-698-7152|